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Horizon Homecare
Job Application Form 

Please complete the Job Application Form as accurately and as completely as possible.

Should you have any questions about the application please email recruitment@horizonhomecare.co.uk

Post applied for *
About You
Title
Forename(s) *
Surname *
Current Address *
Postcode/ZIP *
Country *
Contact Number *
Date of Birth (dd/mm/yyyy) *
Nationality *
Your email address *
Other forms of transport
Employment History
Please provide your full employment history since leaving full time education. PLEASE START WITH YOUR MOST RECENT EMPLOYER and please give details of reasons for any gaps in employment.
Employer 1
Employer's name
Employer's address
Position held
Employed from date (dd/mm/yyyy)
Employed to date (dd/mm/yyy)
Description of duties
Reason for leaving
Employer 2
Employer's name
Employer's address
Position held
Employed from date (dd/mm/yyyy)
Employed to date
Description of duties
Reason for leaving
Employer 3
Employer's name
Employer's address
Position held
Employed from date
Employed to date
Description of duties
Reason for leaving
Employer 4
Employer's name
Employer's address
Position held
Employed from date
Employed to date
Description of duties
Reason for leaving
Employer 5
Employer's name
Employer's address
Position held
Employed from date
Employed to date
Description of duties
Reason for leaving
Employer 6
Employer's name
Employer's address
Position held
Employed from date
Employed to date
Description of duties
Reason for leaving
Supporting References
The United Kingdom regulatory bodies require all regulated establishments to obtain at least two written references of which one must be your current or most recent employer. Horizon also like to complete an additional verbal reference to gain a better understanding of your character. Please provide details below.
Written Referee 1
Current or Most Recent Employer
Referee's name
Company name
Address
Telephone number
Email address
Written Referee 2
Professional Referee
Referee's name
Company
Address
Telephone number
Email address
Written Referee 3
Professional Referee
Referee's name
Company
Address
Telephone number
Email address
Verbal Referee
Character Reference
Referee's name
Company
Address
Telephone number
Email address
If yes to either, please provide details
Supporting information
Please tell us information about you that you feel will support your application. i.e. Hobbies and interest, experiences
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Please Note: When applying for a position which involves direct contact with vulnerable adults or children, a DBS (Disclosure and Barring Service) check will be carried out. This is a legal requirement under the Health and Social Care Act 2008.

If you already have a valid DBS, please make us aware of it by producing a copy. If you are registered with the DBS service and carry a portable DBS, we will simply just require the reference number.

If you are new to care or none of the above apply, then we will carry out a new DBS application. The fee of which is £63 which must be paid prior to submitting the application. Once you receive the certificate it becomes yours to keep. You can register your certificate with the DBS service and take ownership of it for you to use throughout your career in health and social care.

Please talk to our recruitment and HR department for more information.